Skilled Nursing News April 8, 2024
Zahida Siddiqi

Medicare Advantage plans might lower their payments to nursing homes in 2025, to absorb the federal government’s benchmark rate cut to insurers.

Nursing home advocacy groups are worried that this move by the Centers for Medicare & Medicaid Services (CMS) to cut Medicare Advantage rates may be passed on to nursing home providers.

The Medicare Advantage benchmark rate, or the difference between expected average change in revenue and the MA risk score trend, will decline by 0.16%, CMS said in its final rule last week.

In the latest proposed payment rule for skilled nursing facilities (SNFs), CMS said it intends to increase Medicare Part A payments to SNFs by 4.1% in fiscal year 2025. However, this increase could be offset...

Today's Sponsors

LEK
ZeOmega

Today's Sponsor

LEK

 
Topics: CMS, Govt Agencies, Insurance, Medicare Advantage, Post-Acute Care, Provider
Hospice remains a blind spot for Medicare Advantage
Risk Adjustment and Incentives for Upcoding in Medicare
Podcast: The Rise – and Future – of Medicare Advantage w/ Jack Hoadley
Medicare Advantage extras on the chopping block in 2025
Medicare Advantage disparities in 2024: 10 numbers to know

Share This Article